Prevalencia de infección por genotipos del virus del papiloma humano en mujeres con atipia de células escamosas de significado incierto / Prevalence of infection by genotypes of the PVH in women with ASCUS cytology

Resumen OBJETIVO: Estimar la prevalencia de infección por genotipos del virus del papiloma humano en mujeres con atipia de células escamosas de significado incierto. MATERIALES Y MÉTODO: Estudio transversal, descriptivo y retrospectivo efectuado mediante el análisis de los registros de la prueba 21-PVH-Genoarray de Hybriobio en mujeres mayores de 18 años, referidas al servicio de Ginecología del Hospital Nacional Carlos Alberto Seguín, durante el año 2018, debido a atipia de células escamosas de significado incierto. Se utilizó el sistema Genoarray-Hybribio para el genotipado. Variables de estudio: genotipos de VPH de alto riesgo, VPH de bajo riesgo y edad. Se estimaron proporciones y razón de momios con IC95%. RESULTADOS: Se estudiaron 227 pacientes: 95 resultaron con prueba positiva para VPH (41.8%). La prevalencia de genotipos de alto riesgo fue de 33.9%. Los más frecuentes fueron: 16, 31, 52 y 53. La prevalencia fue de 4.8% para los genotipos de bajo riesgo: 81, 6, 43 y 11, y 3.1% fueron infecciones mixtas. Se registraron 38 mujeres con infección con al menos dos genotipos. Las mujeres mayores de 30 años tuvieron 3 veces más riesgo de infección por genotipos de alto riesgo. La razón de momios fue 3.32 (IC95%: 1.21-9.10) en relación con las menores de 30 años, asociación estadística significativa p < 0.01. CONCLUSIONES: La prevalencia global fue: 41.8%, la infección por VPH de alto riesgo en mujeres con atipia de células escamosas de significado incierto fue 33.9%. Los genotipos más prevalentes en infecciones únicas fueron: 16, 31, 52 y 53.

Abstract OBJECTIVE: To estimate the prevalence of infection by genotypes of the human papilloma virus in women with squamous cell atypia of unknown significance (ASCUS). MATERIALS AND METHOD: Transversal and cross-sectional study of patients referred to the Carlos Alberto Seguín National Hospital, during 2018, for presenting ASCUS cytology, the Genoarray-Hybribio system for genotyping was reported. The study variables were: high-risk HPV genotypes, low-risk HPV, and age. Proportions and odds ratios were estimated with 95% confidence intervals. RESULTS: 227 patients were studied, of which 95 had a positive test for HPV (41.8%). The prevalence for high-risk genotypes was 33.9%. The most frequent being 16, 31, 52 and 53. The prevalence was 4.8% for low-risk genotypes: 81, 6, 43, and 11, and 3.1% were mixed infections. 38 women had infection with less than two genotypes, women older than 30 years were 3 times more at risk of infection due to high-risk genotypes, Odss ratio 3.32 (95% CI 1.21-9.10) in relation to those younger than 30 years, statistical association significant p <0.01. CONCLUSIONS: The overall prevalence was 41.8%, the high-risk HPV infection in women with ASCUS was 33.9%, with the genotypes most prevalent in single infections being 16, 31, 52, and 53.

Study of effect of malaria parasitemia on serum electrolytes in south-east Rajasthan

Background: Malaria is a life threatening disease caused by Plasmodium parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. Aim: To study of effect of malaria parasitemia on serum electrolytes in south east Rajasthan. Materials and methods: It was a hospital based study done on malaria indoor patients from June 2017 to March 2018 in Jhalawar Medical College, Jhalawar in South East Rajasthan. The relevant history, systemic examinations and thick and thin peripheral blood smear, malaria antigen detection rapid card test was performed and serum electrolytes like sodium, potassium and calcium level were done for all patients. All patients were categorized into three groups like P.falciparum, P.vivax and mixed infection (both P.falciparum, P.vivax). Results: We observed that female was out numbered than male. Most common affected age group was 35-45 years and most of the patients came from the rural region. Severe dyselectrolytemia was noted in mixed infection (both P.falciparum and P.vivax) and P.falciparum cases. Conclusion: Serum electrolytes level are influenced by the presence of all types of malaria severely with mixed infection and P.falciparum positive cases so severe dyselectolytemia in malaria infections should be treated timely to prevent grave complications

Clinical features of severe malaria:Protective effect of mixed plasmodial malaria

Objective: To investigate clinically severe malaria patients with Plasmodium falciparum (P. falciparum), Plasmodium vivax (P. vivax) and mixed species infections. Methods: This study was conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia, from December 2011 to May 2013. Twenty nine patients (mean age of 41 years, 22% female), who suffered from severe malaria according to World Health Or-ganization criteria (major and minor) and other criteria based on previous studies, were selected by consecutive sampling. Blood samples were obtained at admission from pe-ripheral blood for microscopic diagnostic, nested PCR and laboratory examination of blood chemistry. Laboratory results were compared between the groups and correlated to each other. Results: From 29 samples, eight (28%) were diagnosed as P. falciparum mono-infection, 12 (41%) as P. vivax mono-infection and nine (31%) as mixed infections, confirmed by PCR. Cerebral malaria occurred in P. falciparum or mixed species infection only. Para-sitaemia was highest in P. falciparum mono-infection. Mean haemoglobin was signifi-cantly lower in P. falciparum than P. vivax infection (P=0.01). Mean thrombocyte count (77 138/mL) was low in all groups. Mean urea, creatinine, total and direct bilirubin were significantly higher in P. falciparum mono-infection compared to other groups, whereas aspartate aminotransferase and alanine aminotransferase showed no significant differ-ences. Parasitaemia was positively correlated with an increase in urea, creatinine, bilirubin and leucocytosis in all species. Conclusions: Both Plasmodium species can solely or in combination cause severe ma-laria. Mixed infection was generally more benign than P. falciparum mono-infection and seemed to have some protective effects.

Clinical features of severe malaria: Protective effect of mixed plasmodial malaria

Objective To investigate clinically severe malaria patients with Plasmodium falciparum (P. falciparum), Plasmodium vivax (P. vivax) and mixed species infections. Methods This study was conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia, from December 2011 to May 2013. Twenty nine patients (mean age of 41 years, 22% female), who suffered from severe malaria according to World Health Organization criteria (major and minor) and other criteria based on previous studies, were selected by consecutive sampling. Blood samples were obtained at admission from peripheral blood for microscopic diagnostic, nested PCR and laboratory examination of blood chemistry. Laboratory results were compared between the groups and correlated to each other. Results From 29 samples, eight (28%) were diagnosed as P. falciparum mono-infection, 12 (41%) as P. vivax mono-infection and nine (31%) as mixed infections, confirmed by PCR. Cerebral malaria occurred in P. falciparum or mixed species infection only. Parasitaemia was highest in P. falciparum mono-infection. Mean haemoglobin was significantly lower in P. falciparum than P. vivax infection (P = 0.01). Mean thrombocyte count (77 138/μL) was low in all groups. Mean urea, creatinine, total and direct bilirubin were significantly higher in P. falciparum mono-infection compared to other groups, whereas aspartate aminotransferase and alanine aminotransferase showed no significant differences. Parasitaemia was positively correlated with an increase in urea, creatinine, bilirubin and leucocytosis in all species. Conclusions Both Plasmodium species can solely or in combination cause severe malaria. Mixed infection was generally more benign than P. falciparum mono-infection and seemed to have some protective effects.

Incidence, severity, prognostic significance of thrombocytopenia in malaria.

Background: Malaria is an infectious disease caused by plasmodium parasite. P. falciparum account for majority of morbidity and mortality. Thrombocytopenia and anaemia are the most frequently associated hematological complications in malaria. The low platelet count together with acute febrile syndrome emerged as the strongest predictor of malaria a finding that is frequent and present even before anemia and splenomegaly sets in. Severe thrombocytopenia is a good predictor of poor prognosis than mild and moderate thrombocytopenia. The aim is to study the incidence, severity, prognostic significance of thrombocytopenia in malaria. Methods: This was an observational and prospective study. The study enrolled 100 patients with thrombocytopenia and fever who were proven to have malaria either by peripheral smear or Quantitative Buffy Coat (QBC) test or malarial antigen assay were included in the study and patients with thrombocytopenia due to other causes were excluded from the study. Platelet count was estimated on a fully automated quantitative analyzer. All the 100 patients were followed during the hospital stay and upto discharge or till the outcome. Results: The incidence of thrombocytopenia was 73% indicating a common association in malaria. Complicated malaria was observed in 58.80% of P. falciparum infection whereas 66% of P. vivax infection was associated with uncomplicated malaria. Severe thrombocytopenia showed positive correlation with severity of malaria. Thrombocytopenic patients with effective anti-malarial treatment showed 95.90% recovery and 3 patients 4.10% had mortality. Patients with severe thrombocytopenia were 8.5 times more likely to have complicated malaria with P <0.001 according to student „t‟ test. Conclusion: Thrombocytopenia is the most common hematological finding in malaria. Severe thrombocytopenia showed positive correlation with complicated malaria and a good predictor of poor prognosis. Patients with classical malarial fever and thrombocytopenia who were negative for malaria parasite were not included in the study.

Study of pathogens of reproductive tract mixed infections in reproductive age women and its influential factors / 国际检验医学杂志

Objective To study the common pathogens and incidence of reproductive tract mixed infections in reproductive age women and its influential factors .Methods A questionnaire survey was conducted in 5 000 outpatients from June 2013 to June 2014 ,So did the gynecological examination and laboratory tests statistical analysis was performed .Results The incidence of repro‐ductive tract infections(RTI) in reproductive age women was 1845 cases(36 .9% ) ,10 types of monitoring of pathogens were ob‐served .Positive rates were 38 .0% for AV ,36 .5% for UU ,30 .3% for BV ,28 .6% for VVC ,9 .9% for CT ,8 .5% for MH ,2 .1%for TP ,0 .9% for TV ,0 .4% for NG ,0 .0% for HIV ,respectively .747 patients of mixed infection ,accounted for 40 .5% ,1 097 pa‐tients in 59 .5% of total cases suffered from one kind of infectious diseases ,537 (29 .1% ) two kind and 210 (11 .4% ) more than three kind .The common mode of mixed infection were BV + AV ,CA+ AV ,CT+ AV ,UU+CA ,BV+CA ,CT+BV ,CA+BV+AV .Influential factors to female RTI included age ,the education level and the way of contraception .Conclusion For the prevalence rate of reproductive tract mixed infections in reproductive age women is high ,studying pathogens and relative factors in female re‐productive tract mixed infections has positive meaning to it′s prevention and cure .

Distribución y diversidad genética de Begomovirus que infectan tomate (Solanum lycopersicum L) en Colombia / Distribution and genetic diversity of tomato –infecting Begomovirus in Colombia

Las enfermedades causadas por los begomovirus, (Familia Geminiviridae) constituyen una serie limitante para la producción del tomate en Colombia. Sin embargo, la caracterización de estos virus no ha sido realizada al momento. Aquí­ presentamos los resultados de un muestreo a nivel nacional que buscaba conocer la distribución y diversidad genética de los geminivirus que están afectando el cultivo de tomate en Colombia. Los virus fueron detectados mediante PCR, empleando primer universales específicos para el género Begomovirus. Los fragmentos amplificados por PCR fueron sometidos a un análisis tipo RFLP cuyos resultados evidenciaron presencia de infecciones mixtas e individuales de geminivirus en la mayoría de las muestras recolectadas en campo. Los fragmentos amplificados por PCR fueron clonados y secuenciados. El analísis de secuencia y filogenético mostró que los aislados begomovirales colombianos eran gemininivirus bipartitas típicos del Hemisferio Occidental y que algunos eran variantes de PYMV y otros de ToTEV. Mediante el análisis de los elementos cis-regulatorios (iterones) presentes en el promotor del gen de la proteína asociada a replicación (Rep) de los begomovirus aislados es posible postular eventos de pseudorecombinacién que podrían suceder entre ellos durante la ocurrencia de infecciones mixtas en tomate.

Diseased caused by begomoviruses (Family Geminiviridae) constitute a serious constraint to tomato production in Colombia. However characterization of these new viruses had not been carried out so far. Here we report a large scale survey on the distribution and genetic diversity of tomato infecting geminiviruses which are affecting mayor growing area of this crop in the country. Viruses were detected by PCR using universal primers for members of genus Begomovirus. The RFLP analysis of PCR-amplified fragments showed individual and mixed infections of several geminiviruses in many of the samples. PCR-amplified fragments were cloned and sequenced. Based on sequence comparations and phylogenetic analysis, the Colombian geminivirus isolates were new world bipartite geminiviruses showing close relationship with PYMV and ToVEV. By means of bioinformatic analysis of cis-acting elements (iterons) involved in DNA replication of rep gene of Colombian geminivirus isolates was possible to postulate possible pseudorecombinación events that could occur between them but also confirm the occurrence of mixed infections.

Molecular characterization of G and P-types bovine rotavirus strains from Goiás, Brazil: high frequency of mixed P-type infections

In this study, 331 samples from calves less than one month old from a dairy herd in the district of Piracanjuba, state of Goiás, Brazil were tested for rotavirus. Thirty-three samples (9.9 percent) tested positive for rotavirus. Out of those, 31 were submitted to G and P characterization by reverse transcription followed by semi-nested polymerase chain reaction. Two samples were characterized as G6P[1], three as G10P[11] and five as G6P[11]. The majority of the samples (51.6 percent) displayed multiple P genotypes (P-genotype mixtures), including typical human genotypes P[4] and P[6M], suggesting the occurrence of co-infections and genetic reassortment. Also, the detection of human genotypes in bovine samples may be considered evidence of the zoonotic potential of rotaviruses. To our knowledge, this is the first report of such a high frequency of P genotype mixtures in bovine rotavirus samples. It also increases data on G and P rotavirus genotypes circulating in dairy herds in Brazil and can help in the development of more efficient immunization approaches, thereby controlling infection and reducing economical losses.

Detection of mixed Plasmodium falciparum & P. vivax infections by nested-PCR in Pakistan, Iran & Afghanistan.

Background & objectives: Species identification and information on transmission pattern of malaria parasite in any malaria endemic area is key to success for a malaria control programme. In this investigation, malaria diagnosis using molecular method was used to assess the transmission pattern of malaria parasite in three malaria endemic regions: Afghanistan, Iran and Pakistan. Methods: Blood samples were collected from the patients presenting with vivax malaria from Afghanistan (n = 108), Iran (n = 200) and Pakistan (n = 199). Malaria parasite detection was made by the gold standard (microscopy) and also nested-PCR assay, using 18S small sub-unit ribosomal RNA (ssrRNA) gene. Results: Based on microscopy method, the level of mixed infection was zero to 2.5 per cent; however, nested-PCR assay detected 6.5, 22 and 23.5 per cent mixed infections in samples collected from Afghanistan, Iran and Pakistan, respectively. The present results showed that the co-infection of P. vivax with P. falciparum was frequent in malaria endemic regions of Iran and Pakistan. Interpretation & conclusion: The present data suggest the need for improving microscopy diagnosis method and the clinician should also have careful clinical observation, along with the reports on Giemsa-stained thick blood films, particularly in summer time when P. vivax is predominant. Also sharing information on transmission pattern of mixed infection among these countries may help in designing better control strategies for malaria.

Multiple bovine papillomavirus infections associated with cutaneous papillomatosis in brazilian cattle herds

Cutaneous papillomatosis is a pathological condition commonly found in cattle and is characterized by the presence of benign proliferative tumors caused by bovine papillomavirus (BPV) infection. While multiple infections with human papillomavirus (HPV) are common in healthy and immunodeficient humans, studies with the aim of identifying mixed infections are still sporadic in veterinary medicine. The aim of this study is to describe the occurrence of multiple BPV infections in cattle affected by cutaneous papillomatosis. Fifteen skin warts were collected from at least two diverse anatomical regions of six bovines with papillomatosis belonging to three cattle herds from the Paraná state in Brazil. The BPV types present in the skin wart samples were determined by a PCR assay performed with the FAP primer pair for partial L1 gene amplification followed by direct sequencing or by cloning and sequencing of the inserts. Sequence analysis of the obtained amplicons allowed the identification of four characterized BPV types (BPV-1, -2, -6, and -8) and three previously described putative new BPV types (BPV/BR-UEL3, BPV/BR-UEL4, and BPV/BR-UEL5). Double infections were identified in four (A, B, D, and E) of the six animals included in this study. In this work, the strategy adopted to evaluate skin warts from diverse anatomical sites of the same animal allowed the identification of multiple infections with two or three different BPV types. The analysis of four animals belonging to a single cattle herd also showed the presence of six different viral types. These results clearly suggest that both multiple papillomaviral infection and a high viral diversity can be as frequent in cattle as in human beings.

A papilomatose cutânea é comumente observada nos rebanhos bovinos e caracterizada pela presença de tumores proliferativos benignos causados pela infecção pelo papilomavírus bovino (BPV). Enquanto a infecção múltipla pelo papilomavírus humano (HPV) é um achado comum tanto em seres humanos saudáveis quanto em pacientes com imunodeficiência, na medicina veterinária esses relatos ainda são escassos. O objetivo desse estudo foi descrever a ocorrência de infecções múltiplas pelo BPV em rebanhos afetados pela papilomatose cutânea. Quinze papilomas foram obtidos, de pelo menos duas regiões anatômicas diferentes, de seis bovinos com papilomatose e provenientes de três rebanhos de corte localizados no estado do Paraná, Brasil. Os tipos virais presentes nas lesões foram identificados por PCR, utilizando o par de oligonucleotídeos iniciadores FAP, seguidos de sequenciamento direto ou clonagem e novo sequenciamento dos insertos. A análise das sequências obtidas permitiu a identificação do BPV-1, -2, -6 e -8, além de supostos novos tipos (BPV/BR-UEL3, BPV/BR-UEL4, e BPV/BR-UEL5), descritos anteriormente. Infecções por dois tipos diferentes de BPV foram identificadas em quatro animais (A, B, D e E) dos seis incluídos nesse estudo. A estratégia adotada neste estudo permitiu a identificação de infecção múltipla por dois ou três diferentes tipos virais do BPV no mesmo animal. Além disso, a avaliação de quatro animais de um mesmo rebanho demonstrou a presença de seis tipos virais circulantes. Esses resultados sugerem que tanto as infecções múltiplas quanto a grande diversidade viral podem ser frequentes nos bovinos, assim como o observado nos humanos. O reconhecimento da multiplicidade e complexidade das infecções pelo BPV pode colaborar para o entendimento dos aspectos epidemiológicos, clínicos e imunológicos da papilomatose cutânea nos rebanhos bovinos.